【摘 要】
：
报告32例小儿外伤性硬膜外血肿的临床特点及治疗结果。幕上血肿19例，手术治疗16例，平均血肿量45ml，保守治疗7例，平均血肿量24．5ml；后颅窝血肿9例，手术治疗5例，平均血肿量22ml，保守治疗
【机 构】
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中国医科大学第二临床学院脑外科!110003,中国医科大学第二临床学院脑外科!110003,中国医科大学第二临床学院脑外科!110003
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报告32例小儿外伤性硬膜外血肿的临床特点及治疗结果。幕上血肿19例，手术治疗16例，平均血肿量45ml，保守治疗7例，平均血肿量24．5ml；后颅窝血肿9例，手术治疗5例，平均血肿量22ml，保守治疗4例，平均血肿量8ml；14例（44％）伴有颅骨骨折；2例合并硬膜下血肿，1例合并脑挫裂伤；32例中急性8例（25％），亚急性22例（68．8％），慢性2例（6．2％），经手术或保守治疗全部治愈，死亡率和致残率为0。作者认为认识小儿外伤性硬膜外血肿的特点，正确把握手术和非手术指征，均会得到满意的治疗结果。
Report of 32 cases of pediatric traumatic epidural hematoma clinical features and treatment results. Supratentorial hematoma in 19 cases, surgical treatment of 16 cases, the average hematoma 45ml, conservative treatment of 7 cases, the average hematoma volume 24.5ml; posterior fossa hematoma in 9 cases, 5 cases of surgical treatment, the average hematoma volume of 22ml, 4 cases of conservative treatment, The average hematoma volume was 8ml; 14 cases (44%) had skull fracture; 2 cases had subdural hematoma, 1 case had brain contusion and laceration; 8 cases were acute in 8 cases (25%) and subacute in 22 cases (68%). 8%), chronic 2 cases (6.2%), all cured by surgery or conservative treatment, mortality and disability rate of 0. The author believes that children with traumatic epidural hematoma characteristics, the correct grasp of surgical and non-surgical indications, will be satisfied with the results of the treatment.
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